Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.10 / $57.10 / $77.09	Facility	26	$57.10	$57.10	$77.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.08 / $186.43 / $276.60	Professional		$146.08	$186.43	$276.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.04 / $57.10 / $77.09	Professional	26	$48.04	$57.10	$77.09
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $85.50 / $88.78 / $137.50	Professional	52	$85.50	$88.78	$137.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $98.04 / $126.47 / $220.00	Professional	TC	$98.04	$126.47	$220.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.76 / $96.87 / $234.06	Professional		$84.76	$96.87	$234.06
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.79 / $37.31 / $49.33	Professional	26	$29.79	$37.31	$49.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.71 / $177.38 / $253.70	Professional		$117.71	$177.38	$253.70
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.78 / $86.00 / $101.48	Professional	26	$62.78	$86.00	$101.48
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $70.63 / $106.43 / $152.22	Professional	TC	$70.63	$106.43	$152.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.60 / $244.78 / $409.76	Professional		$102.60	$244.78	$409.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.71 / $64.98 / $119.59	Professional	26	$32.71	$64.98	$119.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $69.89 / $171.50 / $320.66	Professional	TC	$69.89	$171.50	$320.66
United Facility/Professional Professional Modifier Low / Median / High Price $108.69 / $141.47 / $340.28	Professional		$108.69	$141.47	$340.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.35 / $44.85 / $73.66	Professional	26	$33.35	$44.85	$73.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $75.03 / $103.42 / $273.08	Professional	TC	$75.03	$103.42	$273.08